Older bariatric surgery candidates: is there greater psychological risk than for young and midlife candidates?

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CONCLUSION: Although medical risks may cause concern, older adults do not demonstrate any increased psychological risk factors compared with midlife or young adult surgical candidates and evidenced equivalent weight loss. However, concerns with lower ratings on consent and expectations warrant additional research.
PMID: 22197385 [PubMed – as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

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Initial Learning Experience of Laparoendoscopic Single Site (LESS) Gastric Banding: Finding Predictors of Success

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Abstract  Single-incision laparoscopic adjustable gastric banding (SI-LAGB) is a promising technique with potential to decrease pain
and improve cosmesis. It is challenging and potentially time-consuming. We aimed to identify preoperative patient characteristics
predictive of a successful SI-LAGB. Demographic and anthropometric data were prospectively collected. Primary endpoint was
operating time. Adequate operating time (AOT) was determined using a historic consecutive of 100 subjects undergoing multi-port
LAGB. The cutoff for AOT was defined as mean + 1 SD of the historic cohort. Binary logistic regression analysis was used in
univariate and multivariate modeling to identify independent preoperative variables associated with AOT. From February 2009
to October 20…

Insulin resistance and bariatric surgery

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The objective of this article is to systematically review the changes in insulin resistance after various types of bariatric surgical procedures. A Pubmed and EMBASE search for studies measuring insulin resistance before and after bariatric surgery was done and all original research articles from 1980 to present (2011) were included. Only the currently widely performed bariatric procedures were included. A metaâ€?analysis of change in HOMAâ€?IR was conducted, grouping studies with similar duration of followâ€?up. The percentage decrease in HOMAâ€?IR at <=2 weeks, 1 month, 3 months, 6 months, 12 months and >16–18 months was found to be (mean ± standard error) −33.48 ± 5.78, −46.43 ± 6.99, −38.79 ± 9.64, −58.62 ± 7.38, −44.91 ± 7.98 and −67.0…

Safety data favors less-invasive weight-loss surgery

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NEW YORK (Reuters Health) – Minimally-invasive weight-loss procedures seem to be safer than open bariatric surgery, according to researchers who analyzed past studies comparing the two methods. (Source: Reuters: Health)

Safety Data Favors Less-Invasive Weight-Loss Surgery

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Minimally-invasive weight-loss procedures seem to be safer than open bariatric surgery, according to researchers who analyzed past studies comparing the two methods.Source: Reuters Health
Related MedlinePlus Page: Weight Loss Surgery (Source: MedlinePlus Health News)

Effect of Bariatric Surgery on Liver Fibrosis

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Conclusions  Weight loss in morbidly obese patients was associated with a reduction in the prevalence of hepatic fibrosis.

Content Type Journal ArticleCategory Clinical ResearchPages 1-6DOI 10.1007/s11695-011-0559-yAuthors
Myriam Moretto, Centro da Obesidade e Síndrome Metabólica do Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Av. Ipiranga 6690/302, 90610-000 Porto Alegre, BrazilCarlos Kupski, Centro da Obesidade e Síndrome Metabólica do Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Av. Ipiranga 6690/302, 90610-000 Porto Alegre, BrazilVinicius Duval da Silva, Centro da Obesidade e Síndrome Metabólica do Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Av. Ipiranga 6690/302…

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Introduction

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In the past 2 decades, dramatic changes have occurred in the population of women having infants. A greater percentage of women are entering pregnancy obese, with the related increased morbidities observed. Because many reproductive-age women present for medical care to obstetrician/gynecologists, these practitioners are ideally positioned to have an important effect on this phenomenon. For example, when patients present for their annual examination or preconceptual counseling, guidance regarding weight loss before pregnancy can be offered. During pregnancy, obstetricians can encourage the patient to follow guidelines for weight gain in pregnancy, recently reexamined by the Institute of Medicine, to prevent excessive weight gain, which women often are unable to shed after delivery. After co…

Preparing for and Managing a Pregnancy After Bariatric Surgery

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The number of bariatric surgeries performed in the United States has increased exponentially. Given that most patients are female and of reproductive age, it is important for clinicians who manage women’s health issues to be aware of the surgery, its long-term goals, and the potential effect on future pregnancies. Most pregnancies after bariatric surgery have successful outcomes with decreased occurrences of gestational diabetes and hypertension and lower birth weight compared with control patients. Following nutritional guidelines and supplementation in the event of deficiencies are critical in the provision of prenatal care to this unique population. Other important issues include a multidisciplinary team management, a different approach to screening for gestational diabetes, careful eva…

Exploring The Role Of Endoscopy In Treating Obesity

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The American Society for Gastrointestinal Endoscopy (ASGE) and the American Society for Metabolic & Bariatric Surgery (ASMBS) have issued a new white paper on the potential role of endoscopic bariatric therapies (EBTs) in treating obesity and obesity-related diseases like Type 2 diabetes… (Source: Health News from Medical News Today)

Bandwagon Forward: Comment on "Safety of Laparoscopic vs Open Bariatric Surgery" [Invited Critique]

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(Source: Archives of Surgery)